Community-Based Options, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COMMUNITY-BASED OPTIONS, INC.

Practice address

435 W Oak Ave
Panama City, FL 32401-2737

Phone

(850) 215-7688

Fax

(850) 769-2088

NPI assigned

May 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Glenn Frederick Lord Jr., M.S.W

Title

Ceo/President

Phone

(850) 249-6195

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212192000000",
    "number": "1376701722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324020438",
            "telephone_number": "850-215-7688",
            "fax_number": "850-769-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W OAK AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012737",
            "telephone_number": "850-215-7688",
            "fax_number": "850-769-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY-BASED OPTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-31",
        "last_updated": "2008-05-31",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "850-249-6195",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.S.W"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686106796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Panama City, FL
• Providers in Panama City, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.